ALTA LOS ANGELES HOSPITALS, INC.
Skilled Nursing Facility
Los Angeles, California
Provider NPI: 1922001809
Organization Information:Organization Name: ALTA LOS ANGELES HOSPITALS, INC.
Practice Location:
4081 E OLYMPIC BLVD LOS ANGELES, CA 90023 US
Tel: 323-267-0477 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4081 E OLYMPIC BLVD LOS ANGELES, CA 90023 US
Tel: 323-267-0477 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 273R00000X | Hospital Units Psychiatric Unit | CA | 930000039 |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 930000039 |
Y | 282N00000X | Hospitals General Acute Care Hospital | CA | 930000039 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HSC30663F | CA | 05 | |
HSP40663F | CA | 05 | |
LTC70086F | CA | 05 | |
BLUE SHIELD | ZZZC8919Z | CA | 01 |
BLUE SHEILD | ZZZD1917Z | CA | 01 |
HSP30663F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin